Individual provider Active NPI

Dayna E Snyder, DO

  • Family Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1750818118
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101023228 Issued in MI
Practice address
20225 E 9 Mile Rd Ste 100a
Saint Clair Shores, MI 48080-1700
Phone
(586) 779-8700
Fax
(586) 498-1425
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101023228 MI Primary

Addresses

Primary practice location

20225 E 9 Mile Rd Ste 100a
Saint Clair Shores, MI 48080-1700

Mailing address

20225 E 9 Mile Rd Ste 100a
Saint Clair Shores, MI 48080-1700
Phone (586) 779-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723003104 MI Practitioner - Family Practice 3577810407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27450 Schoenherr Rd
Suite 400
Warren, MI 48088-6684
Phone (586) 582-7550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101023228MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Dec 6, 2021 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Family Medicine CurrentSince Dec 6, 2021 Accepting new patients
Henry Ford Cornerstone Medical Group Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

15959 Hall Rd
Ste 104
Macomb, MI 48044
Phone (586) 884-2688

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

20225 E 9 Mile Rd
Ste A
St Clr Shores, MI 48080
Phone (586) 772-1090

27450 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 582-7550

Interoperability endpoints

  • Direct secure messaging: dsnyder1151929@direct.hfhs.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1750818118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 E 9 MILE RD STE 100A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801700",
            "telephone_number": "586-779-8700",
            "fax_number": "586-498-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20225 E 9 MILE RD STE 100A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801700",
            "telephone_number": "586-779-8700",
            "fax_number": "586-498-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "DAYNA",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101023228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.